Preface
Compensation and Pension Record Interchange (CAPRI)
CAPRI Compensation and Pension Worksheet Module (CPWM)
Templates and AMIE Worksheet Disability Benefits Questionnaires (DBQs)
Release Notes
Patch: DVBA*2.7*163
April 2011
Department of Veterans Affairs
Office of Enterprise Development
Management & Financial Systems
April 2011 DVBA*2.7*163 Release Notes ii
Preface
Purpose of the Release Notes
The Release Notes document describes the new features and functionality of patch DVBA*2.7*163 (CAPRI CPWM TEMPLATES AND AMIE WORKSHEET DBQs).
The information contained in this document is not intended to replace the CAPRI User Manual. The CAPRI User Manual should be used to obtain detailed information regarding specific functionality.
Table of Contents
1. Purpose 1
2. Overview 1
3. Associated Remedy Tickets & New Service Requests 1
4. Defects Fixes 1
4.1. DBQ Report Word Wrapping Issue 1
5. Enhancements 2
5.1 CAPRI – DBQ Template Additions 2
5.2 CAPRI – DBQ Template Modifications 2
5.2.1. DBQ HEMATOLOGIC AND LYMPHATIC CONDITIONS, INCLUDING LEUKEMIA: 2
5.2.2. DBQ PROSTATE CANCER: 3
5.3 AMIE–DBQ Worksheet Additions 7
5.4 AMIE–DBQ Worksheet Modifications 7
6. Disability Benefits Questionnaires (DBQs) 8
6.1. Kidney Conditions (Nephrology) Disability Benefits Questionnaire 8
6.2. Male Reproductive Systems Conditions Disability Benefits Questionnaire 13
6.3. Hematologic and Lymphatic Conditions, including Leukemia Disability Benefits Questionnaire 20
6.4. Prostate Cancer Disability Benefits Questionnaire … 25
7. Software and Documentation Retrieval 30
7.1 Software 30
7.2 User Documentation 30
7.3 Related Documents 30
April 2011 DVBA*2.7*163 Release Notes
ii
1. Purpose
The purpose of this document is to provide a high-level overview of user and technical information of the enhancements specifically designed for Patch DVBA*2.7*163.
Patch DVBA *2.7*163 (CAPRI CPWM TEMPLATES AND AMIE WORKSHEET DBQs) introduces enhancements and updates made to the AUTOMATED MED INFO EXCHANGE (AMIE) V 2.7 package and the Compensation & Pension Record Interchange (CAPRI) application in support of the new Compensation and Pension (C&P) Disability Benefits Questionnaires (DBQs).
2. Overview
Veterans Benefits Administration Veterans Affairs Central Office (VBAVACO) has approved implementation and modification of the following Disability Benefits Questionnaires:
• DBQ Kidney Conditions (Nephrology)
• DBQ Male Reproductive Systems Conditions
• DBQ Hematologic and Lymphatic Conditions, Including Leukemia
• DBQ Prostate Cancer
3. Associated Remedy Tickets New Service Requests
There are no Remedy tickets or New Service Requests associated with patch DVBA*2.7*163.
4. Defects Fixes
4.1. DBQ Report Word Wrapping Issue
The word-wrapping issues that appeared on report preview and output has been addressed. Please note the following:
· If the users display is set to “Windows XP Style”, the user will initially see the word wrapping issue, so we are instructing the user to click “Preview” prior to clicking “Done” to clear the wrapping issue.
· If the users display is set to “Windows Classic Style” they will “not” experience the word wrapping issues.
Please Note: The word-wrapping issue has only been addressed on DBQs contained in this patch. We will fix previously released DBQs in future patches.
5. Enhancements
This section provides an overview of the modifications and primary functionality that will be delivered in Patch DVBA*2.7*163.
5.1 CAPRI – DBQ Template Additions
This patch includes adding two new CAPRI DBQ Templates that are accessible through the Compensation and Pension Worksheet Module (CPWM) of the CAPRI GUI application.
• DBQ KIDNEY CONDITIONS (NEPHROLOGY)
• DBQ MALE REPRODUCTIVE SYSTEMS CONDITIONS
5.2 CAPRI – DBQ Template Modifications
This patch includes updates made to the following CAPRI DBQ templates approved by the Veterans Benefits Administration Veterans Affairs Central Office (VBAVACO).
Modifications implemented with this patch include updating the following two DBQs listed below. Each DBQ lists the changes that were made with this patch.
5.2.1. DBQ HEMATOLOGIC AND LYMPHATIC CONDITIONS, INCLUDING LEUKEMIA:
5.2.1.1. Section 3. Treatment has two new options (i) and (ii) for Anemia:
b. Does the Veteran have anemia, including anemia caused by treatment for a hematologic or lymphatic condition?
Yes No (if "yes", answer both question 3.b.i and 3.b.ii)
i. Is the anemia caused secondary to treatment of another hematologic or lymphatic condition?
Yes No
If yes, provide the name of the other condition: ______
ii. Is continuous medication required for control of the anemia?
Yes No
If yes, list medication(s): ______
5.2.1.2. Section 3. Treatment has two new options (i) and (ii) for
Thrombocytopenia:
c. Does the Veteran have thrombocytopenia, including thrombocytopenia caused by treatment for a
hematologic or lymphatic condition?
Yes No (if "yes", answer both question 3.c.i and 3.c.ii)
i. Is the thrombocytopenia caused secondary to treatment of another hematologic or lymphatic condition?
Yes No
If yes, provide the name of the other condition: ______
ii. Is continuous medication required for control of the thrombocytopenia?
Yes No
If yes, list medication(s): ______
5.2.1.3. Section 9. Other pertinent physical findings, complications, conditions signs and/or symptoms has a new option (a) for Scars:
a. Does the Veteran have any other pertinent physical findings, complications, conditions, signs and/or symptoms?
Yes No
If yes, describe (brief summary): ______
b. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis section above?
Yes No
If yes, also complete a Scars Questionnaire for each scar.
5.2.1.4. Section 10. Diagnostic testing has new option (a) for CBC:
If testing has been performed and reflects Veteran's current condition, no further testing is required.
Provide most recent CBC, hemoglobin level or platelet count appropriate to the Veteran's condition:
a. CBC: ______Date: ______
b. Hemoglobin level (gm/100ml):______Date: ______
c. Platelet count: ______Date: ______
d. Are there any other significant diagnostic test findings and/or results?
Yes No
If yes, provide type of test or procedure, date and results (brief summary): ______
5.2.2. DBQ PROSTATE CANCER:
5.2.2.1. The header was changed to “Prostate Cancer Disability Benefits Questionnaire”
5.2.2.2. Section 3. Treatment (Surgery) has been changed to contain the following options:
[ ] Surgery
[ ] Prostatectomy
[ ] Radical prostatectomy
[ ] Transurethral resection prostatectomy
[ ] Other (describe):
5.2.2.3. Section 3. Treatment (Antineoplastic chemotherapy)
§ Date of most recent treatment has been removed
5.2.2.4. Section 4. Residual conditions and/or complications has been changed to Section 4. Voiding dysfunction and contains the following:
Does the Veteran have a voiding dysfunction?
[ ] Yes [ ] No
If yes, provide etiology of voiding dysfunction:
If the Veteran has a voiding dysfunction, complete the following questions:
a. Does the voiding dysfunction cause urine leakage?
[ ] Yes [ ] No
Indicate severity (check one):
[ ] Does not require the wearing of absorbent material
[ ] Requires absorbent material which must be changed less than 2
times per day
[ ] Requires absorbent material which must be changed 2 to 4
times per day
[ ] Requires absorbent material which must be changed more than 4
times per day
[ ] Other, describe:
b. Does the voiding dysfunction require the use of an appliance?
[ ] Yes [ ] No
If yes, describe the appliance:
c. Does the voiding dysfunction cause increased urinary frequency?
[ ] Yes [ ] No
If yes, check all that apply:
[ ] Daytime voiding interval between 2 and 3 hours
[ ] Daytime voiding interval between 1 and 2 hours
[ ] Daytime voiding interval less than 1 hour
[ ] Nighttime awakening to void 2 times
[ ] Nighttime awakening to void 3 to 4 times
[ ] Nighttime awakening to void 5 or more times
d. Does the voiding dysfunction cause signs or symptoms of obstructed
voiding?
[ ] Yes [ ] No
If yes, check all that apply:
[ ] Hesitancy
If checked, is hesitancy marked?
[ ] Yes [ ] No
[ ] Slow or weak stream
If checked, is stream markedly slow or weak?
[ ] Yes [ ] No
[ ] Decreased force of stream
If checked, is force of stream markedly decreased?
[ ] Yes [ ] No
[ ] Stricture disease requiring dilatation 1 to 2 times per year
[ ] Stricture disease requiring periodic dilatation every 2 to 3
months
[ ] Recurrent urinary tract infections secondary to obstruction
[ ] Uroflowmetry peak flow rate less than 10 cc/sec
[ ] Post void residuals greater than 150 cc
[ ] Urinary retention requiring intermittent catheterization
[ ] Urinary retention requiring continuous catheterization
[ ] Other, describe:
5.2.2.5. Section 5. Other pertinent physical findings, complications, conditions, signs and/or symptoms has been changed to Section 5. Urinary tract/kidney infection and contains the following:
Does the Veteran have a history of recurrent symptomatic urinary tract or
kidney infections?
[ ] Yes [ ] No
If yes, provide etiology:
If the Veteran has had recurrent symptomatic urinary tract or kidney
infections, indicate all treatment modalities that apply:
[ ] No treatment
[ ] Long-term drug therapy
If checked, list medications used and indicate dates for
courses of treatment over the past 12 months:
[ ] Hospitalization
If checked, indicate frequency of hospitalization:
[ ] 1 or 2 per year
[ ] > 2 per year
[ ] Drainage
If checked, indicate dates when drainage performed over past
12 months:
[ ] Continuous intensive management
If checked, indicate types of treatment and medications used
over past 12 months:
[ ] Intermittent intensive management
If checked, indicate types of treatment and medications used
over past 12 months:
[ ] Other, describe:
5.2.2.6. Section 6. Diagnostic testing has been changed to Section 6. Erectile dysfunction and contains the following:
a. Does the Veteran have erectile dysfunction?
[ ] Yes [ ] No
If yes, provide etiology:
b. If the Veteran has erectile dysfunction, is it as likely as not (at
least a 50% probability) attributable to one of the diagnoses in Section 1,
including residuals of treatment for this diagnosis?
[ ] Yes [ ] No
If yes, specify the diagnosis to which the erectile dysfunction is
as likely as not attributable:
c. If the Veteran has erectile dysfunction, is he able to achieve an
erection sufficient for penetration and ejaculation (without medication)?
[ ] Yes [ ] No
If no, is the Veteran able to achieve an erection sufficient for
penetration and ejaculation (with medication)?
[ ] Yes [ ] No
5.2.2.7. Section 7. Functional impact has been changed to Section 7. Retrograde ejaculation and contains the following:
a. Does the Veteran have retrograde ejaculation?
[ ] Yes [ ] No
If yes, provide etiology of the retrograde ejaculation:
b. If the Veteran has retrograde ejaculation, is it as likely as not (at
least a 50% probability) attributable to one of the diagnoses in Section 1,
including residuals of treatment for this diagnosis?
[ ] Yes [ ] No
If yes, specify the diagnosis to which the retrograde ejaculation is
as likely as not attributable:
5.2.2.8. Section 8. Remarks, if any has been changed to Section 8. Residual
conditions and/or complications and contains the following:
a. Does the Veteran have any other residual conditions and/or complications
due to prostate cancer or treatment for prostate cancer?
[ ] Yes [ ] No
If yes, describe:
5.2.2.9. Section 9. Other pertinent physical findings, complications, conditions signs and/or symptoms has been added to the DBQ and contains the following:
a. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
section above?
[ ] Yes [ ] No
If yes, are any of the scars painful and/or unstable, or is the
total area of all related scars greater than 39 square cm (6 square
inches)?
[ ] Yes [ ] No
If yes, also complete a Scars Questionnaire.
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms?
[ ] Yes [ ] No
If yes, describe (brief summary):
5.2.3.0. Section 10. Diagnostic testing has been added to the DBQ and contains the following:
NOTE: If laboratory test results are in the medical record and reflect the
Veteran's current condition, repeat testing is not required.
Are there any significant diagnostic test findings and/or results?
[ ] Yes [ ] No
If yes, provide type of test or procedure, date and results
(brief summary):
5.2.3.1. New Section 11. Functional impact, was previously Section 7. Functional impact
5.2.3.2. New Section 12. Remarks, if any was previously Section 8. Remarks, if any
5.3 AMIE–DBQ Worksheet Additions
VBAVACO has approved the following new AMIE –DBQ Worksheets that are accessible through the Veterans Health Information Systems and Technology Architecture (VistA) AMIE software package
• DBQ KIDNEY CONDITIONS (NEPHROLOGY)
• DBQ MALE REPRODUCTIVE SYSTEMS CONDITIONS
5.4 AMIE–DBQ Worksheet Modifications
VBAVACO has approved modifications for the following AMIE –DBQ Worksheets.
• DBQ HEMIC AND LYMPHATIC CONDITIONS, INCLUDING LEUKEMIA
• DBQ PROSTATE CANCER
6. Disability Benefits Questionnaires (DBQs)
The following section illustrates the content of the new questionnaires included in Patch DVBA*2.7*163.
6.1. Kidney Conditions (Nephrology) Disability Benefits Questionnaire
Name of patient/Veteran: ______SSN:
Your patient is applying to the U. S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran’s claim.
1. Diagnosis:
Does the Veteran now have or has he/she ever been diagnosed with a kidney condition?
Yes No
If no, provide rationale (e.g., Veteran has never had any known kidney condition(s)): ______
If yes, indicate diagnoses: (check all that apply)
Diabetic nephropathy ICD Code: ______Date of Diagnosis: ______
Glomerulonephritis ICD Code: ______Date of Diagnosis: ______
Hydronephrosis ICD Code: ______Date of Diagnosis: ______
Interstitial nephritis ICD Code: ______Date of Diagnosis: ______
Kidney transplant ICD Code: ______Date of Diagnosis: ______
Nephrosclerosis ICD Code: ______Date of Diagnosis: ______
Nephrolithiasis ICD Code: ______Date of Diagnosis: ______